Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,444.00 / $6,762.00	Facility		$500.00	$2,444.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.55 / $264.13 / $457.06	Professional		$208.55	$264.13	$457.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.43 / $208.23 / $208.44	Professional		$103.43	$208.23	$208.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,243.46 / $4,156.92 / $8,330.27	Facility		$2,243.46	$4,156.92	$8,330.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.23 / $238.94 / $347.74	Professional		$200.23	$238.94	$347.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $197.60 / $3,348.30 / $3,348.30	Facility		$197.60	$3,348.30	$3,348.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $2,066.67 / $2,441.00	Facility		$251.53	$2,066.67	$2,441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $378.43 / $700.09	Professional		$234.13	$378.43	$700.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.00 / $11,500.00 / $12,000.00	Facility		$1,019.00	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,287.00 / $2,287.00 / $2,287.00	Professional		$2,287.00	$2,287.00	$2,287.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $419.56 / $642.29	Facility		$213.00	$419.56	$642.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.13 / $326.13 / $396.48	Professional		$245.13	$326.13	$396.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $289.80 / $603.20	Professional		$196.99	$289.80	$603.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.09 / $426.43 / $663.40	Facility		$213.09	$426.43	$663.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $402.36 / $674.65	Professional		$239.99	$402.36	$674.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $327.24 / $545.76	Professional		$197.89	$327.24	$545.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $211.56 / $285.26	Professional		$181.93	$211.56	$285.26